NPIMap

Organization Active NPI

Progressive Habilitative Services Inc. II

  • Developmentally Disabled Services Day Training Agency
  • Washington, DC
National Provider Identifier
1740466507
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PROGRESSIVE HABILITATIVE SERVICES INC. II
Practice address
6407 Chillum PL. N,W.
Washington, DC 20012
Phone
(202) 291-3672
NPI assigned
Jan 11, 2008
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maude-Marie Koker
Title
C E O
Phone
(301) 681-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

6407 Chillum PL. N,W.
Washington, DC 20012

Mailing address

13629 Baltimore Ave
Laurel, MD 20707-5095
Phone (301) 317-9996

Other identifiers 1

IdentifierTypeStateIssuer
038479400MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
Progressive Habilitative Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6407 Chillum Pl NW
Washington, DC 20012
Phone (202) 291-3672

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1740466507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13629 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075095",
            "telephone_number": "301-317-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 CHILLUM PL. N,W.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20012",
            "telephone_number": "202-291-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HABILITATIVE SERVICES INC. II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "KOKER",
        "authorized_official_first_name": "MAUDE-MARIE",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "301-681-8312"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038479400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.